<!DOCTYPE html>
<html lang="en">

<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <meta http-equiv="X-UA-Compatible" content="ie=edge">
    <title>myOrder</title>
    <link rel="stylesheet" href="assets/css/public.css">
    <link rel="stylesheet" href="assets/css/myOrder.css">
    <link rel="stylesheet" href="https://cdn.staticfile.org/twitter-bootstrap/3.3.7/css/bootstrap.min.css">
</head>

<body>
    <div class="wrap">
        <div class="IndexBox">
            <p class="titles">我的订单明细</p>
            <div class="line"></div>
            <div class="row row-wrap">
                <div class="text-input displayflex col-md-4 order-input">
                    <span class="">单据编号</span>
                    <select name="interest" class="flex1 no-border">
                        <option value="">单据编号</option>
                        <option value="0">0</option>
                    </select>
                </div>
                <div class="text-input displayflex col-md-4 order-input order-input2">
                    <span class="">单据状态</span>
                    <select name="interest" class="flex1 no-border">
                        <option value="">请选择</option>
                        <option value="0">0</option>
                    </select>
                </div>
                <div class="text-input displayflex col-md-4 order-input order-input2">
                    <span class="">出库库房</span>
                    <select name="interest" class="flex1 no-border">
                        <option value="">请选择</option>
                        <option value="0">0</option>
                    </select>
                </div>
            </div>
            <div class="row row-wrap">
                <div class="text-input displayflex  col-lg-4 order-input">
                    <span class="">申领科室</span>
                    <select name="interest" class="flex1 no-border">
                        <option value="">请选择</option>
                        <option value="0">0</option>
                    </select>
                </div>
                <div class="text-input displayflex  col-lg-4 order-input order-input2">
                    <span class="">申领人</span>
                    <select name="interest" class="flex1 no-border">
                        <option value="">请选择</option>
                        <option value="0">0</option>
                    </select>
                </div>
                <div class="text-input displayflex  col-lg-4 order-input order-input2">
                    <span class="">申领日期</span>
                    <div class='input-group date flex1 no-border order order-input-text' id='datetimepicker1'>
                        <input type='text' class="form-control flex1 no-border" />
                        <span class="input-group-addon" style="background-color: rgb(42, 164, 168);color: #fff;">
                            <span class="glyphicon glyphicon-calendar"></span>
                        </span>
                    </div>
                </div>
            </div>

            <div class="row row-wrap">
                <div class="text-input displayflex  col-lg-4 order-input">
                    <span class="">制单人</span>
                    <div class='flex1 no-border order-input-text' id=''>
                        <input type='text' class="form-control flex1 no-border" />
                    </div>
                </div>
                <div class="text-input displayflex  col-lg-4 order-input order-input2">
                    <span class="">制单日期</span>
                    <div class='input-group date flex1 no-border order-input-text' id='datetimepicker2'>
                        <input type='text' class="form-control flex1 no-border" />
                        <span class="input-group-addon" style="background-color: rgb(42, 164, 168);color: #fff;">
                            <span class="glyphicon glyphicon-calendar"></span>
                        </span>
                    </div>
                </div>
                <div class="text-input displayflex  col-lg-4 order-input order-input2">
                    <span class="">业务类型</span>
                    <select name="interest" class="flex1 no-border">
                        <option value="">请选择</option>
                        <option value="0">0</option>
                    </select>
                </div>
            </div>
            <div class="row row-wrap">
                <div class="text-input displayflex col-lg-8 order-input">
                    <span class="">备注</span>
                    <div class='flex1 no-border order-input-text' id=''>
                        <input type='text' class="form-control flex1 no-border" />
                    </div>
                </div>
            </div>

        </div>

        <div class="IndexBox">
            <p class="titles">申领单明细</p>
            <div class="line"></div>
            <div class="main2-head">
                <table class="table">
                    <thead>
                        <tr>
                            <th>
                                <p>行号</p>
                            </th>
                            <th>
                                <p>商品图片</p>
                            </th>
                            <th>
                                <p class="text-left">商品信息</p>
                            </th>
                            <th>
                                <p>申领数量</p>
                            </th>
                            <th>
                                <p>包装单位</p>
                            </th>
                            <th>
                                <p>单价（元）</p>
                            </th>
                            <th>
                                <p>金额</p>
                            </th>
                            <th>
                                <p>订单金额</p>
                            </th>
                            <th>
                                <p>操作</p>
                            </th>
                        </tr>
                    </thead>
                    <tbody class="table-text">
                        <tr class="detailBox detailBox2 ">
                            <td class="main2-line-height">01</td>
                            <td>
                                <div class="myorder-img">
                                    <img src="assets/images/detail1.png" alt="">
                                </div>
                            </td>
                            <td>
                                <div style="height:100px">
                                    <p class="text-left">0100002</p>
                                    <p class="text-left">光电12导心电图用记录纸有格 长效热敏纸210*140-20M</p>
                                    <p class="text-left">210*140</p>
                                </div>
                            </td>
                            <td class="main2-line-height">
                                10
                            </td>
                            <td class="main2-line-height">卷</td>
                            <td class="main2-line-height">15</td>
                            <td class="main2-line-height">150</td>
                            <td class="main2-line-height" style="vertical-align: middle;" rowspan="3">
                                <p>1500</p>
                            </td>
                            <td>
                                <div class="flex-center detailBox detailBox2 ">
                                    <div class="operation">
                                        <input type="button" value="加入套餐">
                                        <input type="button" value="删除">
                                        <input type="button" value="再次申领">
                                    </div>
                                </div>
                            </td>
                        </tr>
                        <tr class="detailBox detailBox2 ">
                            <td class="main2-line-height">02</td>
                            <td>
                                <div class="myorder-img">
                                    <img src="assets/images/detail2.png" alt="">
                                </div>
                            </td>
                            <td>
                                <div style="height:100px">
                                    <p class="text-left">0100003</p>
                                    <p class="text-left">急救夹板 高分子卷式夹板 医用骨折固定板 支骨板</p>
                                    <p class="text-left">210*140</p>
                                </div>
                            </td>
                            <td class="main2-line-height">
                                20
                            </td>
                            <td class="main2-line-height">片</td>
                            <td class="main2-line-height">30</td>
                            <td class="main2-line-height">600</td>
                            <td>
                                <div class="flex-center detailBox detailBox2 ">
                                    <div class="operation">
                                        <input type="button" value="加入套餐">
                                        <input type="button" value="删除">
                                        <input type="button" value="再次申领">
                                    </div>
                                </div>
                            </td>
                        </tr>
                        <tr class="detailBox detailBox2 ">
                            <td class="main2-line-height">03</td>
                            <td>
                                <div class="myorder-img">
                                    <img src="assets/images/detail3.jpg" alt="">
                                </div>
                            </td>
                            <td>
                                <div style="height:100px">
                                    <p class="text-left">0100004</p>
                                    <p class="text-left"> 支原体鉴定药敏试剂盒微生物检验法</p>
                                    <p class="text-left">210*140</p>
                                </div>
                            </td>
                            <td class="main2-line-height">
                                20
                            </td>
                            <td class="main2-line-height">盒</td>
                            <td class="main2-line-height">20</td>
                            <td class="main2-line-height">400</td>
                            <td>
                                <div class="flex-center detailBox detailBox2 ">
                                    <div class="operation">
                                        <input type="button" value="加入套餐">
                                        <input type="button" value="删除">
                                        <input type="button" value="再次申领">
                                    </div>
                                </div>
                            </td>
                        </tr>
                    </tbody>
                </table>
            </div>
        </div>
    </div>


    </div>

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